Accounts Receivable Project Specialist

At PartnerCare, our mission is to deliver comprehensive care to help musculoskeletal, and pain management patients live their best lives possible. We do this by working as a team, striving to embody our values. With the right talent and strategy, we will continue to raise the bar in our industry, living our mission and delivering best-in-class services to our partners.

PARTNERCARE’S VALUES

Compassion. We genuinely care for the well-being of our patients and one another. We treat others with dignity, kindness, and respect.

Excellence. We are a performance-driven organization committed to excellence in service and patient outcomes. We work to be the best version of ourselves each day.

Integrity. We value honesty and transparency. We openly communicate in pursuit of truth. We build our reputation and positively impact our industry by doing what is right.

Teamwork. We are one team with a shared vision of success. We work collaboratively to deliver on our promise to our partners and our patients.

Accountability. We are accountable to each of our stakeholders for our decisions, actions, and results.

Growth Mindset. We seek to constantly grow and evolve, being adaptive to the changing market and responsive to our customer expectations. We invest in the talents of our team, providing pathways for personal and professional growth.

Together, we will become the most trusted musculoskeletal and pain management organization. Our organization will grow rapidly, and we will maintain a culture of high performance.

Success will be the result of the team.

PERSONAL ATTRIBUTES AND EXPERIENCE

• A strong representative of PartnerCare's values.
• A highly accountable individual with demonstrated ability to take ownership of the role, driving towards measurable outcomes.
• Demonstrated experience working with cross-functional teams, strong collaboration skills across all levels of the organization.
• A highly transparent individual who maintains openness and integrity through solid communication, ensuring relevant information is shared throughout the organization.
• Action-oriented; ability to get things done.
• Knowledgeable and capable; driven towards achieving personal and company goals.
• A growth-oriented individual who seeks out continuous training and development.
• Demonstrated ability to provide and receive implementable feedback that drives performance.
• Adaptable, dynamic thinking individual with strong problem-solving skills.

REPORTING STUCTURE

This position will report to the Director of Revenue Cycle.

Summary

The Accounts Receivable Project Specialist will ensure that patient and insurance payments are received and processed in a timely manner.   This person will not only be crucial in ensuring the day-to-day processing occurs, but also researches and develops plans to eliminate lost revenue in the revenue cycle process.   This person will also conduct audits as instructed to ensure compliance with billing standards.

Essential Functions

• Accept payments and process billing statements electronically and manually
• Keep track of payment deposits from patients and insurance reconciling details
• Prepare payment batches
• Conduct audits for billing cycles
• Assess explanation of benefits (EOBs) from insurance companies
• Keep accurate billing records and report any discrepancies to accounting
• Identifies root causes of insurance denials, sends appeals to payors, and strives to minimize lost revenue.
• Collects patient liabilities that occur when patients are uninsured or have deductibles and coinsurance due. They may assist patients with setting up payment plans or refer them to eligibility professionals to explore additional reimbursement resources. 

Basic Qualifications 

• A minimum of 2 year of medical posting and billing experience.
• A minimum of 2 years Medical Billing experience working with Accounts Receivables
• Experience with appeals and denials and payment posting.
• Excellent knowledge base for CPT and ICD10 coding.